Ms. Toula Athena is a patient in your general practice. Read the case notes below and complete the writing task that follows.

Time allowed: 5 minutes reading time (no writing), 40 minutes writing time.

CASE NOTES
Name	Ms Toula ATHENA
Age	47 years old
Family history	Mother diabetes, died stroke 10 years ago aged 67
Medical history	Unremarkable, no medications
Social History	Married 2 children, home duties
11/11/06	Subjective: 4 months thirst, bulimia, nocturia (4 times per night) lethargy 7 weeks dizziness Objective: Ht. 1.60 Wt. 95kgs. Pulse 84 reg, BP 160/95 Plan: Arrange investigations – blood sugar, mid stream urine (MSU) Dietary advice re weight loss, appropriate foods
16/12/06	Subjective: Reports has followed diet, no weight loss Symptoms unchanged Frequent headaches Objective: No weight loss BP 170/95 Investigation results: blood sugar 11 mmol / l • no sugar in urine • albumin in urine + + Plan: prescribe antidiabetic and antihypertensive medications, continue diet
07/01/07	Subjective: Complains feeling worse Blurred vision Sight spots Objective: BP 165/90 Plan: Referral Dr. Haldun Tristan, endocrinologist
WRITING TASK

Using the information in the case notes, write a letter of referral to Dr Tristan, an endocrinologist at Melbourne Endocrinology Centre, 99 Brick Road, East Melbourne 3004. The main part of the letter should be approximately 180-200 words long.

DO NOT use note form in the letter; expand the case notes where relevant into full sentences.